Brian Ahern, PA-C
Individual provider Active NPI Physician Assistant · Tacoma, WA
NPI 1962844308 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1962844308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA16812 (TX)
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-1100 - Phone
- (253) 968-2252
- Fax
- (253) 968-3278
- NPI assigned
- Jul 26, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230821001094 | TX | Practitioner - Physician Assistant | 0840559100 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current |
Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA16812 | TX | Yes |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-1100
Mailing address
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-1100
Phone (253) 968-2252
Other providers in Tacoma, WA
- Douglas Eduardo Aguirre
- Yareli Aguirre
- Cyrena Lee Aguon-Larson
- Katherine Elizabeth Agyei Yeboah
- Yonatan Ahdut
- David Keith Ahern
- Cossette D. Ahlborn
- Adam Richard Ahlquist
- Mudassar Raees Ahmad
- Ahmad Naweed Ahmadzai
All providers in Tacoma, WA · Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.